16 Blended Encounter Rate - What is it? Average payment per visit/encounter How to calculate: Total Payments Total Visits* = Blended Encounter Rate vs. (different than knowing) Medicaid or Medicare Rate.

22 Post-ACA RCM Focus Item #1 Billing 101 RCM = Revenue Cycle Management Get paid as much as able on first claim submission Clean Claim Get paid as much as you are able (legally entitled) when you can, so you can give it away when you want to RCM Expert??? CFO Billing Manager Outside Firm

What Every Medical Practice Must Do to Optimize Workflow and Maximize Revenue While Decreasing Costs Don t just trust that your staff is maximizing time and revenue. It is up to you to monitor, analyze

Management Report Services Your management team will receive reports that are clear, well defined and serve as a tool for increased performance. These include a brief description emphasizing how the information

Robin Bradbury 800-355-0410 robin@ereso.com Top Ten Questions 1. What are the key measures for the Revenue Cycle? 2. How do you document and share this information with the Revenue Cycle staff? 3. What

Private Fee-For-Service -----Provider Questions and Answers 1. What qualifications must a health care provider have in order to be eligible to furnish services to Medicare beneficiaries who are enrolled

Form 3: Income Analysis OMB No.: 0915-0285. Expiration Date: 9/30/2016 Note: The value in the column should equal the value in the column multiplied by the value in the column. If not, explain in the Comments/Explanatory

OVERVIEW It is important for everyone involved in the billing cycle process to be familiar with how each step of the encounter provides opportunities to assure successful and compliant billing. The purpose

SAFEGUARD YOUR IN AN ERA OF CHANGE Regulatory, economic and technological changes have made running a hospital, urgent care center, or medical practice increasingly difficult today. The complexity of revenue

Learn to understand aged AR Learn to work AR Get the old stuff paid Learn to manage AR Where do we go from here? Accounts Receivable are unpaid payments/charges that are owed to you by the patients and/or

Denial Management Process Strategies to ensure that claims are received and PAID!! Why is Denial Management critical? The current medical practice s path to survival and success 2 . Climbing Cost of Denials

Business Innovation: Is your CHC Working Harder or Smarter? Reflections on Implementing a Revenue Cycle Management Strategy CPCA Annual Conference 2014: Some questions we ll answer today: Who am I? Who

Revenue Cycle Management Manage and Improve Your Results with Origin RCM Financial pressures are escalating for both healthcare providers and patients. In this challenging climate, a wellmanaged revenue

This glossary provides simple and straightforward definitions of key terms that are part of the health reform law. A Affordable Care Act Also known as the ACA. A law that creates new options for people

REVENUE CYCLE MANAGEMENT WHAT YOU MUST DO NOW TO SUCCEED! AN eguide Overview The on-going financial success of home health agencies depends on their ability to effectively manage their revenue. While this

4C s Clinic Billing and Collection Policy -Approved GB 07/28/11 -Effective 10/01/11 The 4C s Clinic expects patients to pay their outstanding balances in a timely manner. A bill for services is based on

Elements for Successful Immunization Billing Practice at New York State s Local Health Departments June 2012 New York State Department of Health Bureau of Immunization and Office of Public Health Practice

Financial Terminology in Access Management University of Mississippi Medical Center Access Management Patient Access Specialists II As a Patient Access Specialist You are the FIRST STAGE in the Revenue

EMDEON PATIENT ACCESS SOLUTIONS AND SERVICES Healthcare is complex. Getting paid shouldn t be. While we offer many solutions and services, they are all are designed to do just two things. Collect patient

Medicare Supplement Standardized Plans There are many kinds of Medicare Supplement Plan Different plans are designated with a letter Available plans include A, B, C, D, F, G, K, L, M, & N Not all plans

Experts in Revenue Cycle Management For Medical Practices and Imaging Centers For over 20 years, we have forged successful partnerships with medical practices and imaging centers to improve their revenue

Revenue Cycle Management Optimized Have you heard about Revenue Cycle Management (RCM)? It is the process of managing the healthcare revenue cycle within your office that typically results in increased

How to Improve Your Revenue Cycle Processes in a Clinic or Physician Practice Janice Crocker, MSA, RHIA, CCS, CHP Introduction Reimbursement for medical practices has been impacted by various trends and

Section 9. Claims As a contracted provider, it is important to understand how the claims process works to avoid delays in processing your claims. The following items are covered in this section for your

Financial Disclosure Teri Thurston does not have any relevant financial relationships with any commercial interests Transitioning to ICD-10 Planning the Journey for Implementation 2 Brief History of ICD-10

Timeline: Key Feature Implementations of the Affordable Care Act The Affordable Care Act, signed on March 23, 2010, puts in place health insurance reforms that will roll out incrementally over the next

How Much Is Poor Communication in the Revenue Cycle Hurting Your CHC's Cash Flow? ROBERT SKEFFINGTON, CHBME PRIORITY MANAGEMENT GROUP INC. 700 SCHOOL ST. PAWTUCKET, RI 02860 www.gopmg.com How Much Is Poor

1 Many providers are under the impression they can assess the financial health of their practice by evaluating cash flow only. However, cash flow is just one factor. You don't have to be a finance expert

Financial Assistance Program Policy PURPOSE As part of our mission to enhance wholeness for all those we serve in body, mind and spirit through our conviction and commitment for compassion, service, excellence